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Condition overview · Orthopedics

Hip, back & SI joint pain

Pain in the hip, low back, or sacroiliac joint often comes from a combination of joint, ligament, and nerve sources. The therapies below are chosen to address whichever is driving your symptoms, and we frequently combine them in one visit.

Hip osteoarthritisSacroiliac dysfunctionLumbar facet painChronic low back painGreater trochanteric pain syndrome

Therapies for this condition

Four options, often combined in one visit.

Most hip / back / SI patients benefit from more than one mechanism, a joint injection plus ligament support, or a joint injection plus nerve decompression. We sequence them in the same visit when appropriate.

01 · Platelet-rich plasma

Platelet-rich plasma (PRP)

Blood-derived · in-office · 60–90 min

Concentrated platelets and growth factors from your own blood, prepared in our lab and delivered into the target tissue under ultrasound guidance. The most-studied autologous biologic across orthopedic indications.

  • Best fit when
  • Hip OA (mild-to-moderate) with mechanical pain
  • Facet joint pain on imaging or diagnostic block
  • Anchor therapy when combining with prolo or hydrodissection
Read the full Platelet-rich plasma page →

02 · Ligament & joint stabilization

Prolotherapy

Dextrose-based · stimulates ligament repair

A series of small injections of a dextrose solution into ligaments and entheses, intended to stimulate a local repair response and improve passive joint stability. Useful where laxity, not cartilage, is the dominant issue.

  • Best fit when
  • SI joint instability or pelvic ligament laxity
  • Chronic low-back pain from posterior ligament strain
  • Recurrent symptoms after PT and manual therapy
Read the full Prolotherapy page →

03 · Peripheral nerve · entrapment relief

LD-PRP Hydrodissection

Ultrasound-guided · low-density PRP or D5W

Fluid is introduced under ultrasound guidance to separate a peripheral nerve from surrounding adhesions, decompressing entrapment and supporting the nerve's local environment. Often combined with PRP.

  • Best fit when
  • Sciatic, femoral, or pudendal nerve entrapment
  • Radicular symptoms with imaging-confirmed compression
  • Burning / electric pain in a clear dermatome
Read the full LD-PRP Hydrodissection page →

04 · Cellular therapy · adipose

Microfragmented adipose (mFAT)

Adipose-derived · same-day · image-guided

For the arthritic hip joint specifically, your own fat, microfragmented the same day and delivered into the joint under image guidance. A dense autologous cell source that also adds a cushioning scaffold.

  • Best fit when
  • Hip-joint osteoarthritis (not primarily back/SI)
  • Wanting an autologous cell option for the joint
  • Looking to delay or avoid hip replacement
Read the full Microfragmented adipose page →

Is this you?

Find out if biologic therapy is the right next step for you.

A clear, condition-specific candidacy brief, so you can come to consultation already knowing where you stand and what to ask. If another path will serve you better, we'll point you to it.

Likely a good fit

  • Mechanical pain reproducible on exam or imaging
  • Pain has outlasted 6–12 weeks of conservative care
  • You can tolerate a short post-procedure restriction (1–2 weeks)
  • You're motivated to pair injections with a structured rehab plan